Most Relevant Information
Provider Data
| NPI Number: | 1003633264 |
| Provider Name: | STACY MILLER |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | SW21865 |
Most Important Dates
| Enumeration Date: | 09/20/2024 |
| Last Updated: | 09/20/2024 |
Provider Practice Location
8461 LAKE WORTH RD STE 250
LAKE WORTH
FL
334672474
Practice Location Phone/Fax
| Phone: | 5617901191 |
| Fax: |
Provider Mailing Location
5925 STONELER RD
TALLAHASSEE
FL
323036969
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |